Individual
EBONY JEANETTE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2329 S 57TH ST, TEMPLE, TX 76504-6957
(254) 393-3036
Mailing address
202 WOODBRIDGE BLVD APT 278, TEMPLE, TX 76504-2134
(469) 261-3899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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